The Association between School District-Based Policies Related to Concussions and Concussions Among High School Students
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The Association between School District-Based Policies Related to Concussions and Concussions Among High School Students

Filetype[PDF-85.78 KB]


  • English

  • Details:

    • Alternative Title:
      J Sch Health
    • Description:
      BACKGROUND:

      Little is known about the effectiveness of school district concussion policies on reducing the concussion prevalence among students.

      METHODS:

      Data from the 2016 School Health Policies and Practices Study and 2017 Youth Risk Behavior Survey for 10 school districts were linked. The outcome variable was having a sports- or physical activity-related concussion during the 12 months before of the survey. Exposure variables were two district policies, including district-funded professional development and prioritizing return to the classroom before returning to athletics. Logistic regression models estimated the odds of a concussion among students in districts with one, both, or neither policy (referent).

      RESULTS:

      In districts with district-funded professional development, the odds of students self-reporting ≥ 2 sports- or physical activity-related concussions were 1.4 times higher than in districts with neither policy. In districts with a policy prioritizing a return to the classroom before returning to athletics, the odds of students self-reporting ≥ 2 concussions were significantly lower (OR=0.6) than in districts with neither policy.

      CONCLUSION:

      School district concussion policies may have positive effects by identifying and reducing multiple concussions among students.

      IMPLICATIONS FOR SCHOOL HEALTH:

      Expansion of involvement of athletic trainers, education opportunities, and concussion management teams may improve policy uptake.

    • Pubmed ID:
      34806180
    • Pubmed Central ID:
      PMC8792342
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